| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
23,912 |
21,910 |
$2.29M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,345 |
5,764 |
$715K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,283 |
2,060 |
$294K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,105 |
3,750 |
$277K |
| 92060 |
|
2,568 |
2,346 |
$125K |
| 92015 |
Determination of refractive state |
34,539 |
31,712 |
$74K |
| 99233 |
Prolong inpt eval add15 m |
337 |
250 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
224 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
38 |
$2K |
| 92310 |
|
15 |
13 |
$1K |
| 92133 |
|
28 |
25 |
$336.64 |
| 67311 |
|
99 |
49 |
$0.00 |